Abstract

Aortic intramural hematoma (IMH) is related to but is
pathologically distinct from aortic dissection. In this potentially
lethal entity, there is hemorrhage into the aortic media in the absence
of an intimal tear. Although intimal disruption is not present, the
prognosis is similar to that of classic aortic dissection; therefore,
early diagnosis is critical. In this review, symptoms and prognosis of
aortic IMH are discussed, as well as current diagnostic techniques and
therapy.

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